Welby Health

What Welby Health does

Welby Health is a US-based virtual care management company that delivers Remote Patient Monitoring (RPM), Chronic Care Management (CCM), and Transitional Care Management (TCM) services to independent physician practices, accountable care organizations (ACOs), and hospitals and health systems. The company provides cellular-enabled medical devices (blood pressure cuffs, glucose monitors, and connected scales), a patient-facing mobile application, and a clinical dashboard, bundled with a dedicated team of licensed RN case managers trained in NCQA-accredited care protocols. Revenue is generated through subscription-based service contracts tied to Medicare CMS billing codes — including CPT 99470 for RPM, CCM, TCM, and the newly available Advanced Primary Care Management (APCM) behavioral health add-on codes from the 2026 CMS Final Rule — with pricing structured around practice size and program requirements under a guaranteed revenue model.

The technology layer includes the proprietary WelbyCare Platform and MARKUS AI, an internal AI assistant built by the CTO that connects to EHR, BigQuery, Looker, HubSpot, and other systems via MCP servers to support nurse workflows including patient lookups, automated triage, and clinical decision support. The platform claims strong clinical outcomes: a 97 patient NPS, 90% reimbursement compliance rate, 84% HEDIS SBP control and 81% A1C control at 90 days, a 20% blood pressure decrease for hypertension patients, and a 5.5x improvement in GDMT therapy adherence for heart failure patients. Only 1% of clinical alerts require physician intervention, indicating mature AI-driven triage. The company is HIPAA compliant and operates from Carlsbad, California.

Go-to-market combines a self-serve PLG motion (provider signup at app.welby.care with onboarding under 5 minutes) with enterprise field sales targeting ACOs and hospitals and inside sales for mid-market accounts. Strategic positioning targets two major regulatory tailwinds: the CMS ACCESS Model launching July 2026 and the Texas Rural Health Transformation Program. Welby Health has raised approximately $3.9M across two funding rounds (a $900K seed from New Stack Ventures in November 2021 and a $3M Series A led by Vertical Venture Partners in April 2023) and remains a privately held, physician-founded company with 11-50 employees.

Name

Welby Health

Legal name

Welby Health, Inc.

Website

https://welby.care

Company type

Private

Founded year

2020

Operating status

Operating

Headcount range

11–50 employees

Short description

Welby Health is a virtual care management platform providing remote patient monitoring, chronic care management, and transitional care management to independent practices, ACOs, and hospitals across the United States, supported by RN case managers and proprietary AI tooling.

Ownership category

akta.pro rank

Product category

Virtual Care Management Platform

NAICS

Ambulatory Health Care Services (621)

SIC

Services-Health Services (8000), Services-Home Health Care Services (8082)

akta.pro primary industry

Revenue Cycle, Coding & Telehealth Compliance Platforms (for provider orgs) (HLALABAM)

akta.pro secondary industries

Virtual Visit & Scheduling Platforms (EHR-integrated) (HLALABAA), Patient Engagement, Education & Messaging Platforms (portal/CRM integrated) (HLALABAJ)

Keywords

• Remote patient monitoring
• Chronic care management
• Transitional care management
• Virtual care platform
• Value-based care

Headquarters

HQ city

Carlsbad

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

Personnel, Technology or R&D, Operations, Marketing or Sales

Revenue model

1. Remote Patient Monitoring (RPM) Services: Full-service RPM program where Welby provides dedicated clinical team to set up program and handle clinical alerts. Leverages new CPT codes including CPT 99470 (10-minute RPM code) and generates revenue based on patient monitoring and management services.
2. Chronic Care Management (CCM): CCM program using trained nurse case managers to support patients needing additional clinical support. Revenue generated through Medicare CCM billing codes with approximately 10% reimbursement increase in 2026 CMS Final Rule.
3. Transitional Care Management (TCM): TCM program responding to admissions and discharges to coordinate care and ensure post-discharge appointments are scheduled. Billable through CMS transitional care management codes.
4. Advanced Primary Care Management (APCM): Enhanced primary care management leveraging new APCM behavioral health add-on codes introduced in 2026 CMS Final Rule.

Pricing tiers

Go-to-market motion3 records

Distribution channels4 records

Marketing channels5 records

Core offering

Welby Health operates the WelbyCare Platform, an AI-powered virtual care management solution combining Remote Patient Monitoring (RPM), Chronic Care Management (CCM), and Transitional Care Management (TCM) services delivered through licensed RN case managers trained in NCQA-accredited protocols. The platform pairs cellular-enabled medical devices with a proprietary patient app and the MARKUS AI assistant to automate clinical workflows, integrate with EMRs, and optimize reimbursement through new CMS billable codes. Customers are healthcare providers — independent practices, ACOs, and hospitals/health systems — seeking to compete in value-based care programs.

Product overview

Welby Health operates as a unified virtual care platform (Welby Care Platform) combining three core clinical services—Remote Patient Monitoring (RPM), Chronic Care Management (CCM), and Transitional Care Management (TCM)—supported by a dedicated clinical team of RN case managers trained in NCQA-accredited protocols. The platform integrates a proprietary patient app and MARKUS AI assistant for clinical workflow automation. The technology layer includes cellular-enabled medical devices (blood pressure cuffs, glucose monitors, connected scales), an all-in-one dashboard for real-time vital monitoring, and AI-driven decision support. The financial model is designed to align incentives through new billable codes and revenue optimization while improving patient outcomes.

Differentiator

Problem solved

Functional benefit

Brands

• WelbyCare: The Welby Care Platform is an innovative health technology focused on delivering proactive population health management using dedicated nurse case managers, evidence-based care plans, and advanced remote technology.

Products and services

• WelbyCare Platform Physician-designed virtual care platform delivering proactive population health management using dedicated nurse case managers, evidence-based care plans, and advanced remote monitoring technology. Extends care beyond clinic walls to manage chronic illness for healthcare providers including independent practices, ACOs, and hospitals.
• Remote Patient Monitoring (RPM) Full-service Remote Patient Monitoring enabling clinicians to monitor and manage patient health remotely using cellular-enabled devices. Welby's clinical team handles setup and the overwhelming majority of clinical alerts, providing proactive health management, reduced hospital readmissions, and optimized treatment plans. Leverages new CPT codes including CPT 99470.
• Chronic Care Management (CCM) Flexible clinical team of RN case managers providing care coordination using proprietary technology and NCQA-accredited care plan tools. Supports patients with additional clinical support resources and saves practices nearly one hour of time per month for each enrolled patient. Revenue generated through Medicare CCM billing codes with approximately 10% reimbursement increase in the 2026 CMS Final Rule.
• Transitional Care Management (TCM) Clinical team responds in real-time to hospital admissions and discharges, coordinating post-discharge appointments and addressing issues timely. Bridges the gap between healthcare settings including hospitals, clinics, and home care. Billable through CMS transitional care management codes.

Quantifiable outcome

• 97 Net Promoter Score from patients
• +8 more outcomes

Segments4 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability8 records

Feature5 records

Partnerships

Five partnerships are on record, tiered minor and core.

• Bret LarsenminorStrategic or Co-development PartnerCEO and Founder of eVisit appointed to Welby Health Board of Advisors. Brings analytics-focused and metrics-driven growth hacking skills to support Welby's expansion in virtual care.
• Sean ShoffstallminorStrategic or Co-development PartnerCTO and Co-Founder of Sycle, the largest EMR company for audiologists in the world, joins Welby Health Board of Advisors to contribute expertise in healthcare technology and EMR integration.
• Spencer HutchinsminorStrategic or Co-development PartnerCEO and Founder of Concert Health appointed to Welby Health Advisory Board. Longstanding relationship with Welby founding team; provides guidance on supporting patients and primary care practices.
• Texas Rural Health ProgramscoreGTM or Marketing PartnerWelby Health platform aligns with Texas Rural Health Stabilization and Innovation Act and federal Rural Health Transformation Program. Welby assists rural hospitals in securing grants and operational funding while providing AI-powered remote monitoring and chronic disease management services.
• CMS ACCESS ModelcoreGTM or Marketing PartnerWelby Health positioned to support organizations accepted into CMS ACCESS Model (150+ organizations), a 10-year outcome-aligned chronic care payment program launching July 5, 2026, for technology-enabled chronic care management.

Scale indicators10 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Health Recovery Solutions: HRS is one of the largest independent RPM platforms in the US, supplying cellular-enabled kits (blood pressure cuffs, scales, glucometers) and a clinician-facing dashboard to hospitals, ACOs, and physician practices. It competes head-to-head with Welby across RPM, CCM, and TCM for the same value-based care buyers.
• CareSimple: CareSimple is an RPM and virtual care platform purpose-built for independent practices, ACOs, and health systems, with cellular-connected devices and an EHR-integrated patient app. It is one of the closest direct competitors to Welby's PLG-meets-enterprise model.
• Pylo Health (formerly Prevounce): Pylo Health provides RPM devices, a clinician platform, and white-labeled CCM/RPM program services to independent practices and ACOs. Its focus on coding optimization and reimbursement uplift for small physician offices closely mirrors Welby's value proposition.
• 100Plus: 100Plus is a leading RPM platform offering cellular-enabled devices (BP cuff, scale, glucose monitor) and a clinician dashboard, primarily serving independent practices and Medicare patients. It is a direct competitor in the same RPM-for-independent-practices segment Welby targets.
• ThoroughCare: ThoroughCare is a CCM, RPM, and TCM software platform serving independent practices, ACOs, and health systems with workflows tied directly to Medicare billing codes. Its coding-first approach to chronic care programs closely parallels Welby's revenue model.
• AMC Health: AMC Health is an RPM and telehealth provider with a long track record in chronic condition management for health systems, payers, and at-risk provider groups. It competes with Welby for enterprise hospital and ACO contracts, particularly in complex chronic populations.
• Optimize Health: Optimize Health is an RPM platform provider that supplies connected devices, a clinician dashboard, and full-service program support to physician practices and ACOs. It competes directly with Welby's full-service RPM offering for the same SMB and mid-market value-based care buyers.
• HealthArc: HealthArc is an RPM and CCM platform serving physician practices, ACOs, and home health agencies with connected devices and billing-code-optimized workflows. It is a comparable SMB-focused competitor to Welby, particularly in the CCM and TCM coding-driven use cases.

Broad incumbents

• Vivify Health: Vivify is a long-standing RPM/virtual care platform now owned by Optum (UnitedHealth Group), serving large payers and health systems. It competes with Welby on RPM and chronic care programs but operates at significantly larger scale and with deeper payer integration.
• WellSky: WellSky is a large, diversified healthcare technology company offering care management, RPM, and population health software across hospitals, home health, and ACOs. While broader than Welby, its care coordination suite overlaps with Welby's TCM and CCM offerings in the same buyer accounts.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks7 records

Key highlights7 records

Customer concentration

• Xx.com/getwelby
• Facebookfacebook.com/getwelby

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds2 records

Investors3 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Welby Health